Active NPI
Benjamin Isaac Wainblat, MD
- Family Medicine Physician
- Davenport, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- IMLC.MD.61566197
- Practice address
- 10 Nicholls St
Davenport, WA 99122-9729 - Phone
- (509) 725-7101
- Fax
- (509) 725-7504
- NPI assigned
- May 7, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | IMLC.MD.61566197 | WA | Primary |
Addresses
Primary practice location
10 Nicholls St
Davenport, WA 99122-9729
Mailing address
10 Nicholls St
Davenport, WA 99122-9729
Phone (509) 725-7501
Other practice location 1
214 SW Main St
Wilbur, WA 99185-0582
Phone (509) 647-5321
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Wright State University Boonshoft School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lincoln County Hospital District 3
Practice addresses (Care Compare)
10 Nicholls St
Davenport, WA 99122-9729
10 Nicholls St
Davenport, WA 99122-9730
Phone (509) 725-7501
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMLC.MD.61566197 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rumford Hospital | Current | Accepting new patients | |
| Central Maine Medical Center | Current | Accepting new patients | |
| Lincoln County Hospital District #3 | Current | Accepting new patients | |
| Lincoln County Hospital District 3 | Family Medicine | Current | Accepting new patients |
| Rumford Hospital | Current | Accepting new patients | |
| Lincoln County Hospital District #3 | Family Medicine | Current | Accepting new patients |
| Central Maine Medical Center | Current | Accepting new patients | |
| Rumford Community Family Health Center, Inc. | Current | Accepting new patients | |
| Rumford Community Family Health Center, Inc. | Current | Accepting new patients | |
| Lincoln County Hospital District 3 | Past | Accepting new patients | |
| Lincoln County Hospital District 3 | Past | Accepting new patients |
Locations
300 Main St
Lewiston, ME 04240
Phone (207) 795-2400
12 High St
Ste 302
Lewiston, ME 04240
Phone (207) 795-5730
430 Franklin St
Rumford, ME 04276
Phone (207) 369-0146
420 Franklin St
Rumford, ME 04276
Phone (207) 364-4581
10 Nicholls St
Davenport, WA 99122
Phone (509) 725-7101
Interoperability endpoints
- bwainblat3373507@wm.providencedirect.org
- https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Lincoln Hospital
- Critical Access Hospital
- Davenport, WA
- NPI 1841234598
-
dba North Basin Medical Clinics--Reardan Clinic
- Rural Health Clinic/Center
- Reardan, WA
- NPI 1639113830
Family Medicine
-
- General Acute Care Hospital
- Lewiston, ME
- NPI 1689653487
-
dba Swift River Family Medicine
- Rural Health Clinic/Center
- Rumford, ME
- NPI 1578599775
-
- Critical Access Hospital
- Rumford, ME
- NPI 1205991122
-
dba North Basin Medical Clinics
- Rural Health Clinic/Center
- Wilbur, WA
- NPI 1972547610
Family Medicine
-
dba CMMC Specialty Pharmacy
- Community/Retail Pharmacy
- Lewiston, ME
- NPI 1033874458
-
dba Elsemore Dixfield Family Medicine
- Rural Health Clinic/Center
- Dixfield, ME
- NPI 1902841083
-
dba Rumford Hospital Swingbed
- Medicare Defined Swing Bed Hospital Unit
- Rumford, ME
- NPI 1982742482
-
- General Acute Care Hospital
- Davenport, WA
- NPI 1013027218
-
- Skilled Nursing Facility
- Davenport, WA
- NPI 1093819211
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lincoln Hospital
- Critical Access Hospital
- Davenport, WA
- NPI 1841234598
-
- General Acute Care Hospital
- Davenport, WA
- NPI 1013027218
Nursing home
-
dba MultiCare Deaconess Hospital
- General Acute Care Hospital
- Spokane, WA
- NPI 1356528269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783641600000",
"number": "1205491164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 NICHOLLS ST",
"city": "DAVENPORT",
"state": "WA",
"postal_code": "991229729",
"telephone_number": "509-725-7501",
"fax_number": "509-725-7504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 NICHOLLS ST",
"city": "DAVENPORT",
"state": "WA",
"postal_code": "991229729",
"telephone_number": "509-725-7101",
"fax_number": "509-725-7504"
}
],
"practiceLocations": [
{
"address_1": "214 SW Main St",
"address_purpose": "LOCATION",
"city": "Wilbur",
"state": "WA",
"postal_code": "991850582",
"country_code": "US",
"telephone_number": "509-647-5321",
"fax_number": "509-647-2238",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WAINBLAT",
"first_name": "BENJAMIN",
"middle_name": "ISAAC",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-07",
"last_updated": "2026-07-10",
"certification_date": "2026-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "IMLC.MD.61566197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davenport, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.